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Organization
PEDIATRIC SPEECH CLINIC OF MARIN INC
Active
Organization
PEDIATRIC SPEECH CLINIC OF MARIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH MOYLE CCC-SLP (DIRECTOR)
(559) 909-2605
Entity
Organization
Contact information
Practice address
25 DE BURGH DR, SAN ANSELMO, CA 94960-1123
(559) 909-2605
Mailing address
25 DE BURGH DR, SAN ANSELMO, CA 94960-1123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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